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Mrs. Kaitlin Vidafar
Specialist in Melville, New York
NPI 1417385675

Kaitlin Vidafar is a Specialist based in Massapequa, NY. Kaitlin Vidafar practices in Melville, NY. The NPI Number for Kaitlin Vidafar is 1417385675 and holds a License No. 1076159 (New York).

The current practice location address for Kaitlin Vidafar is 538 New York 110 #202, Melville, NY and can be reached out via phone at 631-385-7780.

Location: 538 New York 110 #202, Melville, NY, 11758-7539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417385675
Provider Name
Kaitlin Vidafar
Credential
Provider Entity Type
Individual
Gender
Female
Address
538 New York 110 #202, Melville, NY, 11758-7539
Phone Number
631-385-7780
Fax Number
Provider Enumeration Date
10/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
538 New York 110 #202
City
Melville
State
New York
Zip
11174
Phone Number
631-385-7780
Fax Number
person
Provider Business Mailing Address Details
Address
538 New York 110 #202
City
Melville
State
New York
Zip
11174
Phone Number
631-385-7780
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1076159 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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